Job Objective: A Registered Nurse is responsible for the nursing care of patients as established by the Nursing Practice Act of the Board of Registered Nursing of the State of California and as guided by policies and procedures of the Medical Center.

Duties and Responsibilities:

1. Nursing Process

·         Apply nursing process in direct patient care.

·         Provides accurate assessment and documentation of physiological, psychosocial, cultural, developmental, socioeconomic, and spiritual needs of patients as evidenced by assessment within time frame appropriate for level of care

·         Provides logical sequence of action, updates nursing care plan as evidenced by notations on care plan, provides evaluation each shift of patient's progress in relation to the patient care plan, if applicable to area of care

·         Provides Information to patient/family relating to educational resources available, Directs patient/family educational process

·         Provides discharge planning beginning on admission with appropriate referrals and update as required by the patient

·         Adheres to the admission and transfer criteria

·         Adheres to all current policies and procedures in providing patient care and seek clarification if needed.

·         Evaluates and documents outcomes of medical, nursing, and ancillary team interventions

·         Incorporates time management skills in accomplishing care

1. Nursing Care Delivery Process

·         Knowledgeable regarding current nursing practices and procedures

a.  Demonstrates knowledge and use of resources and forms

b.  Demonstrates knowledge of Medical Center structure and administrative resources

c.  Demonstrates ability to interpret rules and regulations

·         Knowledge of legal aspects of nursing care

·         Demonstrates knowledge of legal documents pertinent to unit/area of care

·         Demonstrates knowledge of patient rights

·         Acts as liaison between medical staff and patient care team

1. Technical Equipment

·         Able to operate technical equipment in area of care, safely, efficiently, and accurately

1. Environment

·         Assists in maintenance of a safe, comfortable and therapeutic environment

·         Assesses safety/cleanliness of patient/unit environment and reports conditions requiring change

·         Utilizes resources, equipment, and supplies efficiently and with cost awareness

·         Reports hazardous conditions to appropriate department for correction

·         Uses clean and aseptic techniques for protection of patients and personal safety

·         Prevents contamination and/or transfer of Infection by use of the Exposure Control Plan and Standard Precautions in daily work

·         Demonstrates knowledge of emergency codes

1. Leadership/Professionalism

·         Supervises care provided by others

a.  Assumes responsibility for quality of care given

b.  Gives accurate and concise patient care reports to appropriate persons

c.  Gives accurate, concise patient care reports

d.  Demonstrates-knowledge of scheduling guidelines

·         Maintains professional attitude and effective working relationships with fellow staff members, other departments, patients' families, medical staff and volunteers

·         Functions appropriately and effectively under pressure. Provides care as part of team effort in crisis or emergency situation

·         Adheres to all privacy laws when dealing with confidential and protected health information (PHI)

·         Maintains the confidentiality of patients, Medical Center and department information

·         Adheres to the Code of Conduct

·         Adheres to all Antelope Valley Medical Center Compliance & Integrity Program policies and procedures including the duty to report compliance violations and the duty to disclose conflicts of interest

·         Completion of all mandatory initial and annual training within assigned time frames per established guidelines

·         Demonstrates ethical decision making, integrity, and a willingness to promote a culture of safety

1. Communication

·         Communicate effectively with patients, families, visitors, and physicians

·         Responsible for problem solving and crisis intervention related to physicians, patients, families, and staff

·         Follows the Chain of Command and Conflict Management process established by AVMC

·         Displays a willingness to follow directions and to accept and utilize constructive criticism

1. Age Specific & Cultural Requirement

·         Demonstrate knowledge regarding special needs and behaviors of age specific and cultural groups

·         Participates in age specific and cultural educational and training programs

·         Demonstrates proficiency in required age specific and cultural competencies

Non-Essential Duties:

• Participates in unit or hospital-based committees
• Other duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.

Knowledge, Skills and Abilities:

     Knowledge

·         Supports and adheres to the values and mission statement established by the AVMC Board of Directors

·         Conforms to required accreditation standards.

·         Conforms with and supports Medical Center quality management and performance improvement guidelines 

     Skills

·         Skill and ability to follow telephone etiquette/standards

·         Displays a willingness to work as a team player

·         Safely and effectively use all equipment necessary to carry out duties             

     Abilities

·         Ability to adhere to all established AVMC policies and procedures and to interpret and function under these.

·         Ability to organize work and establish priorities

·         Ability to expand on own initiative in performance of duties

·         Ability to function effectively under pressure and meet time parameters

·         Ability to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensed

·         assistive personnel, or as allowed within scope of nursing practice, as needed

·         Ability to give and support the highest level of patient/customer satisfaction at all times

·         Ability to be flexible in meeting staffing requirements of the facility

·         Ability to meet basic health requirements and physical job standards

AVMC Values: All AVMC employees will effectively demonstrate these values:

• Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
• Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
• Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone.  Success is about the whole team.
• Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.
• Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
• Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.
• Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.

Education and Experience:

Education

·         Adheres to required educational standards

·         Maintains current licensure, certifications, education, and physical health standards Participates in mandatory and/or optional educational activities/offerings. Attend staff meetings regularly and as required by assigned unit

·         Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.

·         Successfully completes written and practical competencies annually or otherwise as assigned.

Experience

·                     Two years' acute care nursing preferred; new grad training provided as appropriate

Required Licensure and/or Certifications:

·         Current California Registered Nursing license

·         BCLS Certification

·         ACLS, PALS, and/or other additional Certifications required for some specialty areas

*Resuscitation credentials such as (BLS, ACLS, PALS, etc.) are required before completion of orientation period.

AVMC Conduct/Compliance Expectations:

·         Ability to adhere with AVMC Attendance and Punctuality Policy.

·         Ability to adhere with AVMC Leaves of Absence Policy.

·         Ability to adhere with AVMC Paid Time Off (PTO) Policy.

·         Ability to adhere to the department dress code.

·         Ability to organize work and establish priorities.

·         Ability to expand on own initiative in performance of duties.

·         Skill and ability to follow the telephone etiquette/standards.

·         Ability to function effectively under pressure and meet time parameters.

·         Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff.

·         Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVMC.

·         Ability to maintain the confidentiality of patients, hospital and department information.

·         Ability to adhere to safety rules and regulations.

·         Safely and effectively use all the equipment necessary to carry out duties.

·         Ability to interpret and function under hospital and department policies and procedures.

·         Conforms with required and appropriate accreditation and regulatory requirements.

·         Conforms with and supports hospital quality assurance and improvement guidelines.

·         Ability to participate effectively in department and hospital staff education.

·         Display a willingness to work as a team player.

·         Ability to give and support the highest level of patient/customer satisfaction at all times.

·         Supports and adheres to the values and mission statement established by the AVMC Board of Directors.

·         Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.

·         Ability to follow the Code of Conduct.

Physical Requirements and Working Conditions:

·      Work is often performed under stressful, emotional, and physical conditions

·      Accepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergencies

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

NOTE: THE ABOVE STATEMENTS ARE INTENDED TO DESCRIBE THE GENERAL NATURE AND LEVEL OF WORK PERFORMED BY PEOPLE ASSIGNED TO THIS JOB.  THIS DOCUMENT IS NOT INTENDED TO BE AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, SKILLS, AND WORKING CONDITIONS FOR THE PERSONNEL SO CLASSIFIED.

Job Objective:

The Rapid Response Team (RRT) is a Critical Care Registered Nurse who is responsible for responding to rapid Response Calls.

Duties and Responsibilities:

The RRT meets all the essential duty requirements of a Critical Care Registered Nurse.  Additionally, the RRT must exemplify expert clinical skills, effective planning, leadership abilities, and ensure appropriate delivery of patient care according to the established standards.  The RRT must work effectively with an interdisciplinary team and possess strong communication skills.  The RRT must report to the House Supervisor every shift.

1. Rapid Response Team: Primary Focus
2. 1.  Respond to Code Blue calls in the main hospital and in the WIP.
   2.  Respond to Code Stroke calls in the main hospital and in the WIP.
   3.  Evaluate and facilitate, with MD, treatment plan for RRT patients.
   4. Working knowledge of proper level of care placement.
   5. Provide expert consultations for deteriorating patients in the main hospital and in the WIP.
   6. Use standardized order set to treat the patient requiring care by the Rapid Response Team.
   7. Assume primary care of patients waiting placement in higher level of care.
   8. Resource nurse for patients waiting for placement in higher level of care.
   9. Provide support for ED admits awaiting admission to CCU and PCU.
   10. Round on all inpatient patient care areas throughout the shift (main hospital and WIP).
   11. Follow up on CCU downgrades and floor downgrades.
   12. Respond to calls for change in patient’s condition.
   13. Assist in CCU as needed.
   14. Assist with CCU and PCU patients who require moderate sedation during procedures provided off the CCU and PCU units.
3.  Critical Care Team Member: Secondary Focus
4. 1.  Cover patients in CCU when primary nurse is off the unit.
   2.  Patient care.
   3.  Assist with bedside procedures.
   4. Collaborate with the CN of CCU and assist as needed.
   5. Complete RRT and/or response documentation in the Electronic Medical Record.
   6. Sepsis Surveillance.
   7. Review Vigilanz Reports.
   8. Maintain Rapid Response Data Base in Midas.
   9. Act as critical care transport when need arises for emergent transport of a critical care patient that needs a higher level of care.  

1. Nursing Care Delivery Process
2. 1. Meets skills and abilities of a Critical Care Registered Nurse.
   2. Demonstrates accurate knowledge of patient acuity system.
   3. Demonstrates knowledge of staffing guidelines for CCU.
   4. Demonstrates knowledge of conscious sedation.
   5. Demonstrates knowledge of admission criteria for level of care determination.

Non-Essential Duties:

·                         None

Knowledge, Skills and Abilities:

Knowledge

·         Level 5 Critical Care Registered Nurse

Skills

·          Competency as a Level 5 Registered Nurse

Abilities

·          Ability to work together for the good of the patient at all times.

·          Ability to educate staff about patients’ condition and recommended treatment.

AVMC Values: All AVMC employees will effectively demonstrate these values:

• Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
• Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
• Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone.  Success is about the whole team.
• Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.
• Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
• Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.
• Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.

Education and Experience:

Education

·         Registered Nurse

·         PALS certification preferred

·         National Certification in Critical Care Nursing (CCRN) highly preferred

Experience

·         Level 5 Registered Nurse

Required Licensure and/or Certifications:

·         Registered Nurse

·         BLS/ACLS

AVMC Conduct/Compliance Expectations:

·         Ability to adhere with AVMC Attendance and Punctuality Policy.

·         Ability to adhere with AVMC Leaves of Absence Policy.

·         Ability to adhere with AVMC Paid Time Off (PTO) Policy.

·         Ability to adhere to the department dress code.

·         Ability to organize work and establish priorities.

·         Ability to expand on own initiative in performance of duties.

·         Skill and ability to follow the telephone etiquette/standards.

·         Ability to function effectively under pressure and meet time parameters.

·         Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff.

·         Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVMC.

·         Ability to maintain the confidentiality of patients, hospital and department information.

·         Ability to adhere to safety rules and regulations.

·         Safely and effectively use all the equipment necessary to carry out duties.

·         Ability to interpret and function under hospital and department policies and procedures.

·         Conforms with required and appropriate accreditation and regulatory requirements.

·         Conforms with and supports hospital quality assurance and improvement guidelines.

·         Ability to participate effectively in department and hospital staff education.

·         Display a willingness to work as a team player.

·         Ability to give and support the highest level of patient/customer satisfaction at all times.

·         Supports and adheres to the values and mission statement established by the AVMC Board of Directors.

·         Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.

•           Ability to follow the Code of Conduct.

Physical Requirements and Working Conditions:

• Work is often performed under stressful, emotional, and physical conditions.
• May be exposed to contaminated instruments that may cause infections, burns, or cuts.
• Requires frequent walking, standing, bending, twisting and reaching, and must be able to speak, see and hear.
• Ability to frequently lift, push and pull up to 25 lbs.
• Ability to occasionally assist, as part of a team, in lifting, pushing and/or pulling patients for the transfer of care, requiring exertion of up to and over 50 lbs.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

NOTE: THE ABOVE STATEMENTS ARE INTENDED TO DESCRIBE THE GENERAL NATURE AND LEVEL OF WORK PERFORMED BY PEOPLE ASSIGNED TO THIS JOB.  THIS DOCUMENT IS NOT INTENDED TO BE AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, SKILLS, AND WORKING CONDITIONS FOR THE PERSONNEL SO CLASSIFIED.